Organization
EMERALD MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY HERNANDEZ FNP (OWNER)
(541) 556-5709
Entity
Organization
Contact information
Practice address
2345 PARK RIDGE LN, EUGENE, OR 97405-1729
(541) 556-5709
Mailing address
2345 PARK RIDGE LN, EUGENE, OR 97405-1729
(541) 556-5709
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083130058
—
OR
Enumeration date
11/21/2023
Last updated
11/21/2023
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